Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti zotsatira za mayeso a Pap smear ndi zosiyana pang'ono. Kenako, akakuuzani kuti muyenera kuchita opaleshoni ya LEEP, mantha amenewo amatha kukhala aakulu kwambiri. N'zachibadwa kudzifunsa kuti, "Kodi izi zikuchita chiyani?" Koma kodi LEEP ndi chiyani kwenikweni? Kodi ndi yoopsa? Tiyeni tikambirane momveka bwino, m'njira yomwe mungamvetse, ngati kuti mukulankhula ndi mnzanu.
Kodi LEEP ndi chiyani mwachidule?
Mwachidule, LEEP (Loop Electrosurgical Excision Procedure) ndi njira yochepetsera kufalikira kwa maselo osazolowereka pamwamba pa chiberekero chanu. Mofanana ndi kuchotsa khungu pang'onopang'ono pamasamba, maselo osazolowerekawa amachotsedwa ndi waya wochepa womwe umagwiritsa ntchito magetsi.
Tsopano mwina mukudzifunsa kuti, "N'chifukwa chiyani maselowa akuchotsedwa?" Ngati smear yanu ya Pap kapena colposcopy ikuwonetsa maselo osazolowereka pa chiberekero chanu, dokotala wanu angakulangizeni njira iyi ya LEEP. Matenda osazolowereka a maselo amenewa amatchedwa cervical dysplasia .
Chofunika kwambiri ndichakuti `(Cervical Dysplasia)` iyi si khansa. Komabe, ngati sichitha kuchiritsidwa kwa nthawi yayitali, maselo ochepa amatha kusanduka khansa ya pachibelekero. Chifukwa chake chithandizo cha LEEP ndi njira yofunika kwambiri komanso yothandiza yochotsera mwayi wa khansa isanayambe . Imagwiritsidwanso ntchito kuchotsa ma polyps ena a pachibelekero ndi ziphuphu zoberekera.
Kodi mumakonzekera bwanji musanalandire chithandizo?
Musanayambe kuchita izi, dokotala wanu adzafufuza kuti atsimikizire kuti zonse zili bwino. Mwachitsanzo, ngati muli ndi matenda otupa m'chiuno (PID) kapena cervicitis, izi ziyenera kuthandizidwa musanachite LEEP.
Mungayesedwenso kuti muwone ngati muli ndi pakati. Ngati muli ndi pakati, dokotala wanu adzasankha nthawi yoyenera kwambiri yochitira chithandizochi. Nthawi zambiri, izi zimachitika tsiku lomwe simukuchita msambo.
Ndikofunikira kwambiri kutsatira malangizo a dokotala musanalandire chithandizo.
- Pewani kugonana ndi kugwiritsa ntchito mafuta aliwonse odzola m'mimba kwa maola 24 musanalandire chithandizo.
- Bweretsani chotsukira kuti mugwiritse ntchito mukamaliza chithandizo.
- Ngati mukumwa mankhwala omwe amaletsa magazi kuundana (monga aspirin), muyenera kuuza dokotala wanu za izi ndikupempha upangiri.
- Ngati dokotala wanu akulangizani, tengani mankhwala ochepetsa ululu (monga Panadol) mphindi 30 musanalandire chithandizo.
- Mukavala zovala, valani zovala zomasuka komanso zomasuka zomwe zingachotsedwe mosavuta.
Kodi chimachitika ndi chiyani pa chithandizo cha LEEP?
Izi nthawi zambiri zimatha kuchitika mu ofesi ya dokotala kapena m'chipinda cha odwala cha chipatala. Chithandizo chonsecho chimatenga mphindi 10 mpaka 20 zokha. Mumakhala maso panthawiyi, koma simudzamva kupweteka kwambiri.
1. Kukonzekera: Choyamba, mudzapemphedwa kuti mugone patebulo loyezetsa, monga momwe mungachitire poyezetsa matenda a akazi nthawi zonse, ndi miyendo yanu yozungulira. Kenako, chotsukira pansi chidzayikidwa pa ntchafu zanu. Izi zidzakutetezani ku magetsi omwe amagwiritsidwa ntchito panthawi ya chithandizo. Kenako, dokotala adzayika chipangizo chotchedwa speculum ndikukulitsa pang'ono nyini yanu kuti chiberekero chanu chiwonekere bwino.
2. Kuzindikira maselo osazolowereka: Kenako, madzi apadera (acetic acid kapena ayodini) amapakidwa pa chiberekero kuti maselo osazolowereka awonekere bwino. Chida chokulirapo chofanana ndi kamera chotchedwa colposcope chimayikidwa pafupi ndi nyini ndikuchiyang'ana. Ichi ndi chida chomwe chimayikidwa kunja kwa thupi.
3. Kutambasuka kwa Chiberekero: Iyi ndi mbali yomwe anthu ambiri amaopa. Koma palibe choopa. Dokotala adzaika jakisoni wochititsa dzanzi (`(Lidocaine)` ndi `(Epinephrine)`) m'chiberekero chanu ndi singano yopyapyala kwambiri . Zidzamveka ngati kumva kuwawa m'kamwa mwanu mukakokedwa dzino, ngati singano yaying'ono ikulowetsedwa, kenako mudzamva kutentha pang'ono kwa masekondi angapo . `(Epinephrine)` yomwe ili mu jakisoniyo ingapangitse mtima wanu kugunda mofulumira pang'ono ndipo mungamve chizungulire pang'ono . Idzatha kwathunthu pakatha mphindi zochepa, choncho musadandaule nazo.
4. Kuchotsa minofu yosazolowereka: Pambuyo poti chiberekero chachita dzanzi kwathunthu, dokotala adzagwiritsa ntchito waya wamagetsi kudula minofu yosazolowereka. Ndikofunikira kuti mukhale chete panthawiyi. Mungamve kumva kupweteka pang'ono, koma osati kupweteka. Nthawi zina izi zitha kuchitika kachiwiri kuti muchotse maselo aliwonse omwe ali pansi pa chiberekero. Chitsanzo cha minofu chidzatumizidwa ku labu kuti akayesedwe ngati ali ndi maselo a khansa.
5. Kuletsa kutuluka magazi: Pomaliza, phala lapadera la mankhwala (phala la Monsel) limayikidwa pabala kuti liletse kutuluka magazi ndikuletsa matenda.
Kodi mungayembekezere chiyani mutalandira chithandizo?
Mukamaliza kulandira chithandizo, mudzatumizidwa kunyumba mukapuma mpaka mutachira mokwanira (pafupifupi mphindi 30-60). Panthawiyi, mutha kufunsa dokotala wanu ngati muli ndi mafunso aliwonse. Mukapita kunyumba, pali zinthu zina zomwe muyenera kutsatira, komanso kusintha kwa thupi lanu pamene mukuchira.
| Zimene mudzakumane nazo | Zimene muyenera kuchita ndi zomwe simuyenera kuchita |
|---|---|
| Kupweteka m'mimba Mungamve kupweteka pang'ono, monga nthawi ya msambo, kwa masiku angapo. | Imwani mankhwala ochepetsa ululu (monga Panadol) monga momwe dokotala wanu wanenera. |
| Kutuluka kwa magazi m'mimba Kutuluka kwa madzi obiriwira ngati achikasu kapena abulauni ngati akuda, nthawi zina okhala ndi fungo loipa, kumatha kukhalapo kwa milungu 1-3. Izi zili choncho chifukwa chakuti mankhwala omalizidwa kugwiritsidwa ntchito akusungunuka ndikutuluka. | Gwiritsani ntchito ma sanitary pad. Musagwiritse ntchito ma tampons kapena chilichonse chomwe chaikidwa mu nyini pazifukwa zilizonse. |
| Zochita ndi masewera olimbitsa thupi Muyenera kupatsa thupi lanu nthawi yoti lichiritse. | Pewani kuchita zinthu zolimbitsa thupi kwa maola 48 oyambirira. Pewani kuchita masewera olimbitsa thupi kwa osachepera sabata imodzi. |
| Kugonana Chibelekero chiyenera kuchiritsidwa kwathunthu. | Pewani kugonana kotheratu kwa milungu yosachepera inayi . |
| Bafa | Mukhoza kusamba monga mwachizolowezi, koma pewani kulowa m'madzi (m'sinki, m'bafa, m'nyanja/m'mtsinje) mpaka dokotala wanu atakuuzani kutero. |
Kodi chiberekero chidzakulanso?
Inde. Minofu yochotsedwayo imalowedwa m'malo ndi maselo atsopano, athanzi ndipo khomo lachiberekero limabwerera mwakale. Izi zimatenga pafupifupi milungu 4-6.
Nthawi yoti mukaonane ndi dokotala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi, zikhoza kukhala chizindikiro cha matenda. Choncho imbani dokotala wanu kapena pitani kuchipatala nthawi yomweyo.
- Kutuluka magazi ambiri kuposa momwe zimakhalira nthawi zonse (kunyowetsa pad yoposa imodzi pa ola limodzi)
- Kuchotsa magazi ambiri oundana
- Kutuluka kwa madzi m'mimba komwe kumanunkha kwambiri tsiku ndi tsiku
- Malungo
- Kupweteka kwambiri m'mimba kosapiririka
Kodi chimachitika n’chiyani zotsatira zake zikabwera?
LEEP ndi njira yodziwira matenda komanso yochiritsira. Nthawi zambiri, maselo osachiritsika akachotsedwa, vutoli limachira kwathunthu.
Komabe, nthawi zina ngati lipotilo likusonyeza kuti pali maselo osazolowereka m'mphepete mwa minofu yochotsedwa, kungakhale kofunikira kuchita chithandizo china cha LEEP kuti muchotse maselo otsala.
Chinthu china choyenera kukumbukira ndichakuti chomwe chimayambitsa maselo osazolowereka m'chiberekero ndi kachilombo kotchedwa HPV (Human Papillomavirus) . Chithandizo cha LEEP chimangochotsa maselo osazolowereka omwe amayamba chifukwa cha kachilomboka, osati kachilomboka palokha . Chifukwa chake, ngakhale mutalandira chithandizo, ndikofunikira kuchita mayeso a Pap nthawi zonse monga momwe dokotala wanu akulangizira.
Uthenga Wopita Nawo Kunyumba
- LEEP ndi mankhwala otetezeka kwambiri, achangu, komanso ogwira mtima omwe amachotsa maselo osazolowereka omwe angayambitse khansa ya pachibelekero isanayambe.
- Izi zimachitika poika chiberekero cha chiberekero dzanzi, kuti musamve kupweteka kwambiri. Mungamve kusasangalala pang'ono mukalandira jakisoni wa dzanzi.
- Ndi zachilendo kumva kupweteka m'mimba ndi kutuluka magazi m'mimba kwa milungu ingapo mutalandira chithandizo.
- Tsatirani malangizo a dokotala wanu molondola, makamaka okhudza kupewa kugonana ndi kuchita masewera olimbitsa thupi.
- Ngati mukumva zizindikiro monga kutuluka magazi kwambiri, kutentha thupi, kapena kupweteka kwambiri, pitani kwa dokotala nthawi yomweyo.
- Mafunso kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza chithandizochi ziyenera kukambidwa ndi dokotala wanu. Ndi ufulu wanu.
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